Margo Ann Spak, LMT

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

021541 Issued in NY

Practice address

126 Park Ave
Binghamton, NY 13903-3280

Phone

(607) 761-9360

Fax

(607) 724-6478

NPI assigned

Nov 10, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1356628952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PARK AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139033280",
            "telephone_number": "607-761-9360",
            "fax_number": "607-724-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PARK AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139033280",
            "telephone_number": "607-761-9360",
            "fax_number": "607-724-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAK",
        "first_name": "MARGO",
        "middle_name": "ANN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NY",
            "license": "021541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Tier Independence Center, Inc.
• Southern Tier Medical Care - Ny PC
• Southern Tier Physical Therapy of Binghamton PC
• Southern Tier Urology Clinic
• Janet Spadavecchia, DMD
• Jacqueline M. Spalik, MSPT
• Nicole Sparaco, RN
• Shawn Patrick Sparks, GRNA
• Delana Durrell Spaulding, NP
• Randy Valerie Specterman, PHD

• Mechanotherapist in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Mechanotherapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.